The university reached the settlement deal in a private negotiation with lawyers for 332 women and girls who said they were assaulted by Nassar, the Associated Press reports; $425 million will go to those survivors, with $75 million set aside for anyone who comes forward later on. The settlement is nearly five times the $109 million Penn State University has paid to people who say football coach Jerry Sandusky abused them.

Each survivor could get between $250,000 and $2.5 million, a lawyer involved with the case told MLive.com. The amounts will probably be determined based on factors like the nature of the abuse and whether the person was a minor at the time.

Michigan State is facing its own fallout as a result of the case, accused of failing to act on reports dating back to the 1990s. The university is being investigated by the NCAA, the Department of Education, and the Michigan attorney general, who has uncovered accusations of sexual assault against William Strampel, Nassar’s former boss and the former dean of MSU’s College of Osteopathic Medicine.

According to a Detroit News investigation, 14 Michigan State coaches, trainers, and other officials knew about allegations against Nassar before his arrest, and eight women and girls had made complaints.

As part of a 2014 Title IX investigation, a recent Michigan State graduate told university officials that Nassar had massaged her breasts and vaginal area after she went to see him for hip pain. The university talked to four experts, all of whom were tied to Nassar, according to the Detroit Free Press. Then the school closed the investigation, concluding that the woman simply hadn’t understood the “nuanced difference” between sexual assault and medical treatment.

On Wednesday, Brian Breslin, chair of Michigan State’s governing board, offered words of apology for Nassar’s victims: “We are truly sorry to all the survivors and their families for what they have been through, and we admire the courage it has taken to tell their stories.”

“We recognize the need for change on our campus and in our community around sexual assault awareness and prevention,” he added.

The university still maintains there was no cover-up of Nassar’s crimes. A vague recognition of the need for change isn’t the same as a full reckoning with the fact that women and girls had spoken up for years about Nassar’s abuse — and were ignored. For that, survivors are still waiting.